Tackling antibiotic resistance: the environmental framework

Antibiotic resistance constitutes a threat to human and animal health worldwide. Here, Manaia and colleagues report the main findings of the European COST (Cooperation in Science and Technology) Action DARE (Detecting Evolutionary Hotspots of Antibiotic Resistance in Europe) and discuss the need for improved sampling of the environment and more comprehensive databases, as well as the policy and management options that should be considered as priorities to tackle antibiotic resistance in the environment. Antibiotic resistance is a threat to human and animal health worldwide, and key measures are required to reduce the risks posed by antibiotic resistance genes that occur in the environment. These measures include the identification of critical points of control, the development of reliable surveillance and risk assessment procedures, and the implementation of technological solutions that can prevent environmental contamination with antibiotic resistant bacteria and genes. In this Opinion article, we discuss the main knowledge gaps, the future research needs and the policy and management options that should be prioritized to tackle antibiotic resistance in the environment.